Question Answered step-by-step Mr. Alvis, age 57, presented to his physician with marked fatigue,… Mr. Alvis, age 57, presented to his physician with marked fatigue, nausea with occasional diarrhea, and a sore, swollen tongue. Lately he also has been experiencing a tingling feeling in his toes and a feeling of clumsiness. Microscopic examination of a blood sample indicated a reduced number of erythrocytes, many of which are megaloblasts, and a reduced number of leukocytes, including many large, hyper segmented cells. Hemoglobin and serum levels of vitamin B12 were below normal. Additional tests confirm pernicious anemia.Question 1Relate the pathophysiology of pernicious anemia to the manifestations listed above.Question 2Discuss how the gastric abnormalities contribute to vitamin B12 and iron deficiency and how vitamin B12 deficiency causes complications associated with pernicious anemia.Question 3Discuss other tests that could be performed to diagnose this type of anemia.Please be detailed and cite your sources. Health Science Science Nursing Share QuestionEmailCopy link Comments (0)
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